(《局方》)
治胃中湿热,口臭喉疮,齿龈宣露,及吐衄齿血(胃之窍在口,其脉上齿侠鼻,湿热内
盛,故口臭口疮;阳热怫郁胃中,越出于口鼻,故吐血衄血;齿属少阴肾,龈属阳明胃,二
经有热,则齿龈齿缝出血,名齿衄,或牙龈袒脱,齿龈宣露也。)
生地黄 熟地黄 天冬 麦冬 石斛 茵陈 黄芩 枳壳 枇杷叶 甘草,等分。每服
五钱。一方加桂苓,名桂苓甘露饮。《本事方》加犀角,云如此甚有道理(犀角凉心泻肝,
清胃中大热。)
此足阳明、少阴药也。烦热多属于虚,二地、二冬、甘草、石斛之甘,治肾胃之虚热,
泻而兼补也;茵陈、黄芩之苦寒,折热而去湿;火热上行为患,故又以枳壳、枇杷叶抑而降
之也。
河间桂苓甘露饮∶滑石(四两) 石膏 寒水石 甘草(各二两) 白术 茯苓 泽泻
(各
便秘(此亦五苓、六一之合剂也,以清六腑之热。)张子和去猪苓,减三石一半,加人参、
干葛(各一两),藿香(五钱,)木香(一分。)每服三钱。亦名桂苓甘露饮∶治伏暑烦渴,
脉虚水逆(渴欲
(钱乙)
治肺火皮肤蒸热,洒淅寒热,日晡尤甚,喘嗽气急(皮肤蒸热,肺主皮毛也;洒淅寒热,
邪在肤腠也;日晡尤甚,金旺于酉也;肺苦气上逆,故咳嗽喘急;轻按即得,重按全无,是
热在皮毛;日西尤甚,为肺热。)
桑白皮 地骨皮(一钱) 甘草(五分) 粳米(百粒。)易老加黄连。
此手太阴药也,桑白皮甘益元气之不足,辛泻肺气之有余,除痰(止嗽性善行水泻火,
故能除痰,痰除则嗽止;)地骨皮寒泻肺中之伏火,淡泄肝肾之虚热,凉血退蒸(肝木盛能
生火,火盛则克金;肾为肺子,实则泻其子;)甘草泻火而益脾,粳米清肺而补胃(土为金
母,虚则补其母,)并能泻热从小便出。肺主西方,故曰泻白(李时珍曰∶此泻肺诸方之准
绳也。泻白散泻肺经气分之火,黄芩一物汤、丹溪清金丸,泻肺经血分之火。清金丸,即黄
芩炒为末,水丸
本方加人参、五味、茯苓、青皮、陈皮,名加减泻白散(东垣∶)治咳嗽喘急呕吐。本
方加知母、黄芩、桔梗、青皮、陈皮,亦名加减泻白散《宝鉴》∶治咳而气喘,烦热口渴,
胸膈不利。本方除甘草、粳米,加黄芩、知母、麦冬、五味、桔梗,亦名加减泻白散(罗谦
甫)治过饮伤肺,气出腥臭,唾涕稠粘,嗌喉不利,口苦干燥(原文云∶桑皮、地骨味苦微
寒,降肺中伏火,而补气为君;黄芩、知母苦寒,治气出腥臭,清肺利气为臣;五味酸温以
收肺气,
(出自《太平惠民和剂局方》)
治疗胃中湿热,口臭、咽喉疮疡,牙龈萎缩暴露,以及吐血、鼻衄、齿血(胃的窍开于口,其经脉上行至牙齿并夹持鼻孔,湿热内盛,所以出现口臭、口疮;阳热郁结在胃中,向上溢出到口鼻,所以导致吐血、鼻衄;牙齿属于少阴肾经,牙龈属于阳明胃经,这两条经络有热,就会导致牙齿、牙龈及牙缝出血,称为齿衄,或者牙龈脱落、牙龈萎缩暴露。)
生地黄、熟地黄、天冬、麦冬、石斛、茵陈、黄芩、枳壳、枇杷叶、甘草,各等分。每次服用五钱。另一版本加入肉桂、茯苓,名为桂苓甘露饮。《本事方》中加入犀角,说这样做很有道理(犀角能清心泻肝,清除胃中的大热。)
这是足阳明胃经和足少阴肾经的药物。烦热多属于虚证,生地黄、熟地黄、天冬、麦冬、甘草、石斛的甘味,治疗肾和胃的虚热,是泻火兼补益的方法;茵陈、黄芩的苦寒之性,折服热邪并去除湿气;火热之气向上逆行造成病患,所以又用枳壳、枇杷叶来抑制并下降气机。
河间刘完素的桂苓甘露饮:滑石(四两)、石膏、寒水石、甘草(各二两)、白术、茯苓、泽泻(各……[原文此处似有缺漏或排版错误,后接便秘] 便秘(这也是五苓散和六一散的合方,用来清除六腑的热邪。)张子和去掉猪苓,减去三种石头类药物的一半,加入人参、干葛(各一两),藿香(五钱),木香(一分)。每次服用三钱。也叫桂苓甘露饮:治疗伏暑引起的烦渴,脉象虚弱、水饮上逆(口渴欲……[原文截断])
(出自钱乙《小儿药证直诀》)
治疗肺火导致的皮肤蒸热,洒淅恶寒发热,下午申时尤为严重,气喘咳嗽气急(皮肤蒸热,是因为肺主皮毛;洒淅恶寒发热,是因为邪气在肤腠之间;下午申时尤为严重,是因为金气在酉时旺盛;肺厌恶气机上逆,所以咳嗽喘急;轻按脉搏即得,重按全无,说明热在皮毛;日西时分尤为严重,是因为肺热。)
桑白皮、地骨皮(一钱)、甘草(五分)、粳米(一百粒)。易老(李东垣/李杲,此处指李氏经验)加入黄连。
这是手太阴肺经的药物。桑白皮味甘能补益元气之不足,味辛能泻除肺气之有余,消除痰浊(止嗽药善于行水泻火,所以能除痰,痰除则咳嗽停止;)地骨皮性寒能泻除肺中的伏火,味淡能泄除肝肾的虚热,凉血退蒸(肝木旺盛能生火,火盛则克制金;肾为肺之子,实证则泻其子;)甘草能泻火并补益脾土,粳米能清肺并补养胃气(土为金之母,虚则补其母,)并能将热邪从小便排出。肺属西方,所以叫泻白(李时珍说:这是治疗肺脏诸方的准则。泻白散泻除肺经气分的火邪,黄芩一物汤、丹溪清金丸,泻除肺经血分的火邪。清金丸,就是将黄芩炒成粉末,用水泛为丸……[原文截断])
本方加入人参、五味子、茯苓、青皮、陈皮,名为加减泻白散(李东垣:)治疗咳嗽气喘呕吐。本方加入知母、黄芩、桔梗、青皮、陈皮,也叫加减泻白散(《卫生宝鉴》:)治疗咳嗽气喘,烦热口渴,胸膈不利。本方去掉甘草、粳米,加入黄芩、知母、麦冬、五味子、桔梗,也叫加减泻白散(罗谦甫:)治疗过量饮酒损伤肺脏,呼出气体腥臭,唾涕稠粘,咽喉不利,口苦干燥(原文说:桑白皮、地骨皮味苦微寒,降泄肺中伏火,并补气作为君药;黄芩、知母味苦寒,治疗呼出气体腥臭,清肺利气作为臣药;五味子酸温以收敛肺气,……[原文截断])
(From *Taiping Huimin Heji Jufang*)
Treats damp-heat in the Stomach, bad breath, throat sores, receding gums, as well as hematemesis (vomiting blood), epistaxis (nosebleed), and bleeding from teeth. (The orifice of the Stomach is the mouth; its meridian ascends to the teeth and flanks the nose. When damp-heat is abundant internally, it causes bad breath and oral ulcers; when Yang-heat is constrained within the Stomach and overflows into the mouth and nose, it causes vomiting of blood and nosebleeds. Teeth belong to the Shaoyin Kidney meridian, while gums belong to the Yangming Stomach meridian. Heat in these two meridians causes bleeding from the teeth, gums, and interdental spaces, known as dental hemorrhage, or gum recession and exposure.)
Shengdi Huang (Rehmanniae Radix Preparata), Shudi Huang (Rehmanniae Radix Preparata), Tiantong Dong (Asparagi Radix), Maidong Dong (Ophiopogonis Radix), Shihu (Dendrobii Caulis), Yinchen (Artemisiae Scopariae Herba), Huangqin (Scutellariae Radix), Zhike (Aurantii Fructus Immaturus), Pipa Ye (Eriobotryae Folium), Gancao (Glycyrrhizae Radix et Rhizoma), equal parts. Take five qian per dose. Another variant adds Rougui (Cinnamomi Cortex) and Fuling (Poria), named Guiling Ganlu Yin (Cinnamon Twig and Poria Decoction). *Benshi Fang* adds Xijiao (Rhinocerotis Cornu), stating this is very reasonable (Xijiao cools the Heart and drains Liver heat, clearing intense heat in the Stomach.)
This formula acts on the Foot-Yangming Stomach meridian and Foot-Shaoyin Kidney meridian. Irritability and heat often belong to deficiency. The sweetness of Shengdi Huang, Shudi Huang, Tiantong Dong, Maidong Dong, Gancao, and Shihu treats deficiency-heat in the Kidney and Stomach; this method drains heat while tonifying. The bitter-cold nature of Yinchen and Huangqin subdues heat and removes dampness; since fire-heat tends to rise upward causing pathology, Zhike and Pipa Ye are used to suppress and descend the Qi.
Hejian's Guiling Ganlu Yin: Huashi (Talcum, four liang), Shigao (Gypsum Fibrosum), Hanshuishi (Natrii Sulfas), Gancao (each two liang), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Zexie (Alismatis Rhizoma) [text indicates constipation here, likely a formatting error in source, followed by commentary]: This is also a combined formula of Wuling San (Five-Ingredient Powder with Poria) and Liuyi San (Six-to-One Powder), used to clear heat in the Six Fu organs. Zhang Zihe removed Zhu Ling (Polyporus), reduced the three stone minerals by half, added Renshen (Ginseng Radix) and Ge Gen (Puerariae Lobatae Radix) (one liang each), Huoxiang (Agastaches Herba) (five qian), and Muxiang (Aucklandiae Radix) (one fen). Take three qian per dose. Also called Guiling Ganlu Yin: Treats latent summerheat causing irritability and thirst, deficient pulse, and water rebellion (thirst desire... [text truncated]).
(From Qian Yi's *Xiao'er Yaozhengzhijue*)
Treats steaming heat in the skin caused by Lung fire, chills and fever with shivering, worsening particularly in the afternoon (specifically around the You hour). Skin steaming heat occurs because the Lung governs the skin and hair; chills and fever indicate pathogenic factors in the skin and interstices; worsening at the You hour corresponds to the peak of Metal energy; the Lung dislikes Qi rebelling upward, hence coughing and asthma; a pulse that is palpable with light pressure but disappears with heavy pressure indicates heat in the skin and hair; worsening in the late afternoon indicates Lung heat.
Sangbaipi (Mori Cortex), Digupi (Lycii Cortex), Gancao (five fen), Jingmi (Oryza Sativa, one hundred grains). Yilao (Li Dongyuan) adds Huanglian (Coptidis Rhizoma).
This formula acts on the Hand-Taiyin Lung meridian. Sangbaipi is sweet to tonify insufficiency of Yuan Qi, and pungent to drain excess Lung Qi, eliminating phlegm (Antitussive herbs are good at promoting water metabolism and draining fire, thus eliminating phlegm; when phlegm is eliminated, cough stops;) Digupi is cold to drain hidden fire in the Lung, and bland to drain deficiency-heat in the Liver and Kidney, cooling blood and relieving steaming heat (Excess Liver Wood generates fire; excessive fire controls Metal; the Kidney is the son of the Lung, so excess conditions are treated by draining the son;) Gancao drains fire and tonifies the Spleen, Jingmi clears the Lung and tonifies the Stomach (Earth is the mother of Metal; when deficient, tonify the mother,) and helps expel heat through urination. The Lung belongs to the West, hence it is called Xiebai (Discharging White). (Li Shizhen said: This is the standard for all formulas treating the Lung. Xiebai San discharges fire in the Qi level of the Lung meridian; Huangqin Yiwu Tang and Danxi Qingjin Wan discharge fire in the Blood level of the Lung meridian. Qingjin Wan is made by frying Huangqin into powder and forming pills with water... [text truncated])
Adding Renshen, Wuweizi, Fuling, Qingpi, and Chenpi to this formula creates Jiajian Xiebai San (Modified Xiebai Decoction) (Li Dongyuan): Treats cough, asthma, and vomiting. Adding Zhimu, Huangqin, Jiegeng, Qingpi, and Chenpi also creates Jiajian Xiebai San (*Weisheng Baojian*): Treats cough with asthma, irritability, thirst, and chest/diaphragm discomfort. Removing Gancao and Jingmi, adding Huangqin, Zhimu, Maidong, Wuweizi, and Jiegeng also creates Jiajian Xiebai San (Luo Qianfu): Treats lung injury from excessive drinking, foul-smelling breath, thick sticky sputum and nasal discharge, throat obstruction, bitter taste, and dryness in the mouth (Original text states: Sangbaipi and Digupi are bitter and slightly cold, descending hidden fire in the Lung and tonifying Qi as the Sovereign herb; Huangqin and Zhimu are bitter and cold, treating foul breath and clearing Lung Qi as the Minister herbs; Wuweizi is sour and warm to astringe Lung Qi,... [text truncated])